H. ALLAN LIPSITZ MEMORIAL SCHOLARSHIP

First-Time Applicant Information Sheet for 2017-2018

What Is the H. Allan Lipsitz Memorial Scholarship?

Delegate Stein’s H. Allan Lipsitz Memorial Scholarship is awarded to recognize students for their academic excellence and to help students with financial need be able to afford an undergraduate education. The major criteria for the scholarship include academic achievement (especially in English and writing), community service activities, and financial need.

Who Is Eligible?

Students seeking undergraduate higher education and currently living in the 11th District are eligible. Recipients must be enrolled in an accredited Maryland college or university for the 2017-2018 academic year.

How Do I Apply?

Use the following as a checklist to make sure you have everything necessary before submitting your application.

ONLY COMPLETE APPLICATIONS WILL BE ACCEPTED. All required materials must be submitted at the same time.

1.  Create a Student Login Profile through the Maryland College Aid Processing System [MD CAPS]: https://mdcaps.mhec.state.md.us This is a necessary first step in order to receive an ID number.

2.  Complete all parts of the Application Form. Please type or neatly print and sign the final document, including a parent or guardian’s signature, if required. The Application Form must be mailed together with the following documents:

·  Submit an un-official transcript from your high school or undergraduate program. The transcript must include your cumulative GPA (unweighted).

·  A resumé that must include: career interests; scholastic awards; work experience; community service projects or volunteer experience.

·  An essay of 300-500 words that describes your career and academic interests. Personal essays will not be accepted. An essay that was written for college admission is acceptable, as long as it meets the stated criteria.

·  Two (2) letters of recommendation. The letters must be on institutional letterhead and signed by the person writing the recommendation. Contact information for the recommenders must be included in the letters. Photocopies of letters are not acceptable. One letter must be from a current or past teacher.

7. The completed application must be received by Friday, March 31, 2017. Applications received after that date will only be considered if there is funding available. Incomplete applications will be rejected; applications that fail to follow the above instructions will also be rejected. All awards are decided by the end of May 2017.

8. Please contact Delegate Stein’s Legislative Director for additional information at 410-841-3527 or by email at

H. ALLAN LIPSITZ MEMORIAL LEGISLATIVE SCHOLARSHIP

APPLICATION FORM 2017-2018

Please type or print neatly.

Student’s Full Name: ______

Social Security No.: - ______(last 4 digits only) Date of Birth: __ __ / __ __ / ______

MHEC ID No.: ______

Permanent (not college) Address: ______

City, State, Zip: ______

District 11 Resident: Yes / No (Verify online at www.mdelect.net; you must be a resident of District 11 to apply)

Phone Number: ______- ______- ______Email: ______

High School Senior: Yes / No Cumulative Unweighted GPA: ______

High School currently attending: ______

Name of University/College to which you are applying or currently attending (must be a Maryland College or University):

______

Current year if attending a University or College: ___ Freshman ____ Sophomore ____ Junior ____ Senior

____ Graduate Cumulative Unweighted GPA: ______

Planned Graduation Date from University/College: __ __ / __ __ / ______

Enrollment (Circle one): full-time or part-time (you must take a minimum of 6 credits to receive a legislative scholarship)

Are you applying to an out-of-state school under the “Unique Major” exception: Yes / No

NOTE: You may use this scholarship at an out-of-state school ONLY if your major is not available at a Maryland school and if your Delegate agrees. In order to verify your major as unique, you must complete the Unique Major Application and submit it to MHEC with the required documentation. Allow 8 weeks for processing by MHEC.

FAFSA INFORMATION

Expected Family Contribution (EFC) ______

Please describe any family financial issues that would supplement the information supplied by FAFSA in determining financial need (one of the major criteria for the scholarship):

______

______

Application Form page 2

Have you taken a Financial Education Course? ______Yes _____ No

If yes, where did you take the course and was it helpful? ______

______

Other potential or current scholarships/financial aid awards (include Pell Grants, Guaranteed Access Grant, and/or Education Assistance Grant, in addition to others):

______

______

Print Name of Parent or Guardian (if under 18): ______

I have reviewed this application and verify that the submitted information is complete and accurate.

______

Signature of Student Date

______

Signature of Parent or Guardian Date

APPLICATION DEADLINE: MARCH 31, 2017

MAIL COMPLETE APPLICATION TO:

Delegate Dana M. Stein

Attn: Scholarship Committee

6 Bladen Street, Room 251

Annapolis, MD 21401

The Maryland Higher Education Commission will notify you of your award via your MD CAPS account.